Individual
TARA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5754 ELENA DR, HOLIDAY, FL 34690-2329
(727) 455-3702
Mailing address
5754 ELENA DR, HOLIDAY, FL 34690-2329
(727) 455-3702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5514
OR
Other
Enumeration date
03/05/2015
Last updated
02/09/2024
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